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Ixiaro as Booster After Mouse-brain Derived Vaccines for Japanese Encephalitis

Primary Purpose

Japanese Encephalitis

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Mouse brain derived japanese encephalitis vaccine (MB-JEV)
Primary and booster immunizations with MB-JEV
C) primary immunizations with Ixiaro
S) Ixiaro booster to MBJEV primed
Sponsored by
Helsinki University Central Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Japanese Encephalitis focused on measuring Ixiaro, japanese encephalitis vaccine, booster

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female travellers ≥ 18 years of age.

    • General good health.
    • Written informed consent.
    • Ability to attend all visits scheduled in this study.
    • Travellers who have previously got a primary vaccination series of 2 or 3 doses of JE-MB and now receive a booster vaccination , either MB-JEV or IXIARO, at the travel clinic for their journey to Asia, OR
    • Travellers with no previous vaccination against JE who are given the primary vaccination series with IXIARO at a travel clinic prior to their journey to Asia.

Exclusion Criteria:

  • - < 18 years of age.
  • Acute disease at the time of enrollment.
  • Pregnancy or lactation.
  • Known immunodeficiency or immune suppressive treatment.
  • Any chronic illness that might interfere with the immune response; history of JE.
  • Alcohol or drug abuse.
  • Any clinically significant history of known or suspected anaphylaxis or hypersensitivity (based on the investigator's judgement).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    A) primary immunization with MB-JEV

    Primary and booster MBJEV vaccinations

    C) primary immunizations with Ixiaro

    S) Ixiaro booster to MBJEV primed

    Arm Description

    Volunteers immunized with MB-JEV

    Booster immunization with MB-JEV of vaccinees primed with MB-JEV

    Primary immunization with Ixiaro 2 dose

    Actual study group:Booster immunization with Ixiaro to those primed previously with MB-JEV

    Outcomes

    Primary Outcome Measures

    Antibody titers 1 month after last vaccine dose
    Determination of antibody titers 1 month after last vaccine dose

    Secondary Outcome Measures

    Antibody titers two years after vaccination
    Measurement of antibody titers two years after vaccination

    Full Information

    First Posted
    June 30, 2011
    Last Updated
    October 27, 2011
    Sponsor
    Helsinki University Central Hospital
    Collaborators
    Karolinska Institutet
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01386827
    Brief Title
    Ixiaro as Booster After Mouse-brain Derived Vaccines for Japanese Encephalitis
    Official Title
    Ability of the New Vero-cell-derived Inactivated Japanese Encephalitis Vaccine (IXIARO) to Elicit a Booster Response in Travellers Previously Vaccinated With Traditional Mouse-brain Derived Vaccine (JE-MB)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2011
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2008 (undefined)
    Primary Completion Date
    April 2011 (Actual)
    Study Completion Date
    April 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Helsinki University Central Hospital
    Collaborators
    Karolinska Institutet

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The old mouse brain derived Japanese encephalitis vaccines (MBJEV) have been reported to cause serious adverse effects and are therefore replaced with the novel Ixiaro vaccine. The present study investigates whether vaccinees primed with MBJEV can be boosted with Ixiaro. Travellers receiving Japanese encephalitis vaccines are enrolled for a follow-up of immune responses in four groups: A) primary immunization with BMJEV, B) primary and secondary immunizations with MBJEV, C) primary immunizations with Ixiaro and S) Primary immunization with MBJEV and secondary immunization with Ixiaro. Immune responses are followed with help of serum samples collected before and after vaccination.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Japanese Encephalitis
    Keywords
    Ixiaro, japanese encephalitis vaccine, booster

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    120 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    A) primary immunization with MB-JEV
    Arm Type
    Active Comparator
    Arm Description
    Volunteers immunized with MB-JEV
    Arm Title
    Primary and booster MBJEV vaccinations
    Arm Type
    Active Comparator
    Arm Description
    Booster immunization with MB-JEV of vaccinees primed with MB-JEV
    Arm Title
    C) primary immunizations with Ixiaro
    Arm Type
    Active Comparator
    Arm Description
    Primary immunization with Ixiaro 2 dose
    Arm Title
    S) Ixiaro booster to MBJEV primed
    Arm Type
    Active Comparator
    Arm Description
    Actual study group:Booster immunization with Ixiaro to those primed previously with MB-JEV
    Intervention Type
    Biological
    Intervention Name(s)
    Mouse brain derived japanese encephalitis vaccine (MB-JEV)
    Other Intervention Name(s)
    Korean Green Cross
    Intervention Description
    a) 2-3 doses of MB-JEV vaccine 0.5ml given on day 0, 7, 30 immunization and one booster dose of Ixiaro 0.5 ml > 2 years later
    Intervention Type
    Biological
    Intervention Name(s)
    Primary and booster immunizations with MB-JEV
    Other Intervention Name(s)
    Korean Green Cross
    Intervention Description
    2-3 doses of MB-JEV vaccine 0.5ml given on day 0, 7, 30 as primary immunization and one booster dose of 0.5 ml > 2 years later
    Intervention Type
    Biological
    Intervention Name(s)
    C) primary immunizations with Ixiaro
    Other Intervention Name(s)
    Ixiaro
    Intervention Description
    2 0.5 ml doses of Ixiaro 28 days apart
    Intervention Type
    Biological
    Intervention Name(s)
    S) Ixiaro booster to MBJEV primed
    Other Intervention Name(s)
    Ixiaro
    Intervention Description
    0.5ml Ixiaro to volunteers previously primed with 2-3 doses of MB-JEV
    Primary Outcome Measure Information:
    Title
    Antibody titers 1 month after last vaccine dose
    Description
    Determination of antibody titers 1 month after last vaccine dose
    Time Frame
    1 month
    Secondary Outcome Measure Information:
    Title
    Antibody titers two years after vaccination
    Description
    Measurement of antibody titers two years after vaccination
    Time Frame
    2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Male and female travellers ≥ 18 years of age. General good health. Written informed consent. Ability to attend all visits scheduled in this study. Travellers who have previously got a primary vaccination series of 2 or 3 doses of JE-MB and now receive a booster vaccination , either MB-JEV or IXIARO, at the travel clinic for their journey to Asia, OR Travellers with no previous vaccination against JE who are given the primary vaccination series with IXIARO at a travel clinic prior to their journey to Asia. Exclusion Criteria: - < 18 years of age. Acute disease at the time of enrollment. Pregnancy or lactation. Known immunodeficiency or immune suppressive treatment. Any chronic illness that might interfere with the immune response; history of JE. Alcohol or drug abuse. Any clinically significant history of known or suspected anaphylaxis or hypersensitivity (based on the investigator's judgement).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Elina Erra, MD
    Organizational Affiliation
    Haartman Institute, University of Helsinki
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Lars Lindqvist, MD PhD
    Organizational Affiliation
    Department of infectious diseases Stockholm, Sweden
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Eili Huhtamo, PhD
    Organizational Affiliation
    Haartman Institute, University of Helsinki
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Olli Vapalahti, MD PhD
    Organizational Affiliation
    Haartman Institute, University of Helsinki
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sari Pakkanen, MSc
    Organizational Affiliation
    Haartman Institute, University of Helsinki
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sirkka Vene, BMA
    Organizational Affiliation
    Swedish Institute of Infectious Disease Control
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Jukka Riutta, MD
    Organizational Affiliation
    Travel clinic, Postitalo, Lääkärikeskus
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Anu Kantele, MD PhD
    Organizational Affiliation
    Helsinki University Central Hospital
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Lars Rombo, MD PhD
    Organizational Affiliation
    Karolinska Institutet
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22696017
    Citation
    Erra EO, Askling HH, Rombo L, Riutta J, Vene S, Yoksan S, Lindquist L, Pakkanen SH, Huhtamo E, Vapalahti O, Kantele A. A single dose of vero cell-derived Japanese encephalitis (JE) vaccine (Ixiaro) effectively boosts immunity in travelers primed with mouse brain-derived JE vaccines. Clin Infect Dis. 2012 Sep;55(6):825-34. doi: 10.1093/cid/cis542. Epub 2012 Jun 13.
    Results Reference
    derived

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    Ixiaro as Booster After Mouse-brain Derived Vaccines for Japanese Encephalitis

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